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Bill > S02395


NY S02395

NY S02395
Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.


summary

Introduced
01/17/2025
In Committee
01/17/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the insurance law, in relation to requiring health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with certain breast densities

AI Summary

This bill requires health insurance providers in New York to offer additional mammography screening coverage for individuals with heterogeneously dense or extremely dense breast tissue. Specifically, the bill mandates that insurance policies must provide either an annual mammogram with a breast ultrasound or breast tomosynthesis (a three-dimensional mammography technique) for patients with dense breast tissue. The bill amends existing insurance law to expand mammography coverage across different types of health insurance policies, including individual, group, and medical service corporation plans. The coverage applies to various age groups, including those with a prior history of breast cancer or a first-degree relative with breast cancer, and includes baseline and annual mammograms for individuals aged 35 and older. The new provisions ensure that these additional screening methods are provided without annual deductibles or coinsurance, potentially improving early detection of breast cancer for individuals with dense breast tissue. The bill will take effect 60 days after becoming law and will apply to all insurance policies issued, renewed, or modified after that date.

Committee Categories

Business and Industry

Sponsors (3)

Last Action

REFERRED TO INSURANCE (on 01/17/2025)

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